A pt. can receive environment recommendations 3 ways. Which is NOT a way.

while in hospital, ambulance takes pt home for home assess.

Of the four answers, which ONE is not a factor affecting ROM?

we all bend, it just depends on how far I can make them go

In an atrophied extremity, what do you measure to compare loss of mass to?

the bulk of the muscle belly on unaffected extremity

Translate: Pt. transferred Mod A c>w/c x2

Patient transferred Mod Assistance chair to w/c twice

medications, infections, moisture, pressure, immobilization

Extrensic factors affecting healing

Define sterile field.

an area where no microorganisms are living

What 4 things are you watching for when doing sensory testing?

Control, reaction time, accuracy, speed

coordination condition where you can't touch fingers

3 types of wound closures are:

primary intention, delayed prim closure, secondary intention

studbud

Therapeutic Activities 2018

196 termsStudBud Administration23 plays

Summer Final 2018

Flashcards196 cardsFPractice quizPHost liveL

Questions 196

Answers

1
ADA Title one focuses on what?
insurance
public accommodations
Schools
Employment
2
Name the stage of the wound
stage 2
stage 1
stage 3
3
In stage 1-4 wounds, You must remove Eschar or slough in a wound to
change the Tx plan
promote healing
make it bleed out infection
get the yuck off
4
On a pt. MMT measures what?
active movement
passive movment
5
Name the nerve root for the Biceps and Brachioradialis.
C5-C6
C6-C7
C5
C4-C5
6
Business offering phone service to the public must accommodate the deaf with a relay system
Title 4
title 5
HIPPA
title 2
7
A pt. can receive environment recommendations 3 ways. Which is NOT a way.
while in acute care, interviewed and recommendations given
interview plus site visit without pt
while in hospital, ambulance takes pt home for home assess.
interview, site visit, with pt
8
What is this shorthand for? AFO
Artificial Foot Orthotic
Ankle Foot Orthosis
Alternate First objectives
9
Benign Sensate Forgetfulness, everyone has this at some point.
false
true
10
Collagen remodeling, fibroblasts decrease, tensile strength increases
granulization
maturation phase
proliferation phase
11
Of the four answers, which ONE is not a factor affecting ROM?
ROM decreases as we age
females generally are more flexible
End feels in regards to if more movement available
we all bend, it just depends on how far I can make them go
12
If a pt. has chorea, what do they have?
edema
a jerky, involuntary movement
too much rigidity
13
How many had this during last lab exam??
dripping sweat
Diaphoresis
14
what AD is used when a pt is mobile but needs max support for stability?
LBQC
parallel bars
crutches
SW (standard walker)
15
In an atrophied extremity, what do you measure to compare loss of mass to?
the bulk of the muscle belly on unaffected extremity
2 cm up from a bony landmark
measure the length of the extremity from a bony landmark
do a muscle length test
16
This pt has
TB
Compromised Immune system
patriotic pride
MRSA
17
Title 3 is directed at what?
schools
public accommodations
public service
telecommunications
18
If a pt. is performing standing transfers, which type of w/c is best for them?
removable armrest w/c
fixed armrest w/c
19
What word describes something a pt contracts while being in the hospital and can escalate?
Melgisorb Ag
Nosocomial Infections
Mychickenheztb
mepilex border
20
A pt had a THA, posterior. To get out of bed, what is the preferred method?
long sit
log roll
21
Translate: Pt. transferred Mod A c>w/c x2
Patient moved from chair to w/c twice with moderate ability
Physical therapist transf patient twice mod Assist ch to w/c
Patient transferred Mod Assistance chair to w/c twice
22
Gravity eliminated position for shoulder flexors is:
prone
sidelying
sitting
supine
23
Pt. asked to blow out lips and can't but you hand them a bubble wand and they start blowing
Ideological
Ideomotor
24
What did the dad buffalo say to the baby buffalo?
By son!
By son!
25
Coordination: we rely on sensory input to learn; once learned, little sensory input needed.
true
false
26
medications, infections, moisture, pressure, immobilization
Extrensic factors affecting healing
Intrinsic factors affecting healing
27
Sites to check pulse include all but one:
femoral
posterior surface of hand
brachial
dorsal pedal
28
What is occurring here
healing
re-epithelialization
granulization
29
The following are reasons for looking at muscle performance as a PTA except one.
To evaluate the musculoskeletal and neuromuscular system
to monitor for changes in pt. status indicating a "red flag"
to provide insight to functional limitations/disabilities
To change the POC
30
The body position for gravity eliminated testing of hip adductors is:
sidelying
sitting
prone
supine
31
Transfers: supine to sit with min A of one person?
Impairment
Functional limitation
Disability
Pathology
32
Stiffening or freezing of a joint is:
arthrolysis
arthroclasia
necrosis
ankylosis
33
What are perturbations?
angry emotions that perturb you
Inappropriate advances
short bursts of pushing
palpations of bony landmarks
34
Define sterile field.
tools that have been autoclaved
an area where no microorganisms are living
area with no viruses
35
what degree of burn is this?
3rd degree
2nd degree
1st degree
4th degree
36
Average pulse for an adult is:
40-80
80-120
60-100
100-130
37
What 4 things are you watching for when doing sensory testing?
Control, reaction time, accuracy, speed
consistency, control, reaction time, target
rhythm, coordination, timing, precision
38
Name this phase of healing
epithelialization
proliferation phase
granulation
39
A functional assessment form predicts if a pt is independent or not-grooming, feeding, dressing
Barthel Index
Katz Index
OARS
POMA
40
Subluxation means:
severed limb
a blister under the skin
too much partying!
partial dislocation
41
Bed mobility, transfers, balance, gait are examples of ADL's that who test for
OT/OTA's
PT/PTA's
42
Avg blood pressure for an elderly person is:
120/80
98/64
140/100
120/90
43
an intratester is:
one tester to another
many testers to one patient
44
BP should be taken on the affected side everytime.
true
false
45
Employers cannot discriminate if a disabled person is qualified. Reasonable accommodations too
Title 3
Title 2
Title 1
Title 4
46
What grade would a pt receive for a MMT with full ROM and Mod resistance?
4
3+
3
5
47
what is Dysmetria?
a condition of diarrhea
balance condition where you can't do dynamic sitting
coordination condition where you can't touch fingers
Hot and Cold sensations are reversed
48
3 types of wound closures are:
primary, intentional, contracture
ace wrap, 4 in bandage, gauze
staples, stitches, glue
primary intention, delayed prim closure, secondary intention
49
When should you wait 30 mins before taking a pt. temp orally?
when their surgery has just completed
when the child has been playing
when their temp was taken via axilla last check
when they have eaten or drank
50
Decubitus ulcer on sacrum measures 3cm from (L) outer edge to (R) outer edge.
A
O
P
S
51
Only one AD; AD advances, then affected, then unaffected foot advances. Gait pattern?
Modified 4-point
3-point
Modified 2-point
4-point
52
what is Nystagmus?
ability of eyes to look different directions
a stigmatisum of the eyes
rapid, involuntary movement of the eyes
color blindness
53
PRE
Proprioception Right Extremity
Posterior Right Elbow
Progressive Resistive Exercises
Praying Required for Exams
54
Shoulder internal rotators requires what measurement.
MMT
goniometry
dynometer
inclinometer
55
All gov't facilities, transportation, communication must be accessible to disabled persons
Title 5
Title 1
Title 4
Title 2
56
Romberg test is known as:
Standing Dynamic Balance Test
Standing Static Balance Test
57
Pt c/o pain with prolonged sitting
O
S
A
P
58
All are blood borne pathogens except
Syphillis
HIV
Hep B
MRSA
59
What are the directions for use of a hand dynameter.
1 trial, 2 tests, hold 5 secs, pulse each one
3 tests, 3-5 secs each, squeeze isometrically
1 trial, 3 tests, hold 10 secs each, squeeze like a pulse
2 tests, hold 3-5 secs, squeeze isometrically
60
The 3 ways to measure muscle strength are:
straight leg test, Ober Test, Thomas Test
MMT, inclinometers, goniometers
MMT, hand dynamometry, isokinetic dynamometry
61
This would be labeled as what kind of wound
abrasion
pressure ulcer
deep puncture
laceration
62
What is this shorthand for? CHI
congenital heart infection
chai tea
Closed head injury
63
Pt. asked to pick up the fork, they acknowledge, but nothing happens
Ideological
ideomotor
64
The TUG stands for what?
Timed Up & Go
Two bilateral grasps
Test Under Girth
65
What kind of dementia is reversible
B1, B6, B12
organic brain
Parkinsons
benign sensate
66
What is Dysdiadochokinesia?
difficulty performing rapid, alternating movements
difficulty with proprioception and kinesthesia together
inability to move LE joints intentionally
abnormal response on Ober test of 30 degrees or more
67
What is this sensory test?
sharp/dull
pressure
light touch
68
Which one is NOT a type of infectious contact transmission?
Airborne
Droplets
Indirect contact
permeable
69
all are common Dx of Dementia except one
Organic Brain
Huntingtons
Parkinsons
Alzeimhers
70
When descending a curb in a w/c, the best way is to:
descend backwards
forward in a wheelie
don't go down a curb- it is dangerous
forward with front wheels descending first
71
To check if a seat width on a w/c fits properly, you
if their greater trochanter doesn't touch, it is good
there should be a 2" gap visible arm rest to thigh
place 3 fingers horizontally between femur and arm rest
place 1 hand vertically between greater trochanter & armrest
72
What 4 thing are you observing during respiration?
pulse, abdomen, their clothing, posture
abdomen, chest, their effort, their sound
shoulders, nares, chest and abdomen
73
What 3 postural strategies are observed and notated when watching static/dynamic standing?
ankle and hip, if they step
sway of shoulders, stepping out, do they bend
can they hold 30 sec, do they open eyes, their trunk
74
ADA Title 2 states is directed at what?
Handicap ramps
Public service
Telecommunications
75
Superficial sensors are proprioceptors, deep sensors are exteroceptors.
true
false
76
Stage 3 hypertension has constant reading of:
150/120
180/100
130/90
145/100
77
Gait pattern used for Non-weight bearing status
2-point
Modified 3-point (3-1-point)
4-point
3-point
78
One leg standing toe raises is one way to test dorsiflexors.
true
false
79
Aluminum is the most durable material of choice for w/c. It is lighter and more durable.
true
false
80
What is this test?
exteroreceptor reception
pressure
light touch
81
If a pt has an anterior THA, WBAT is the normal precaution.
true
false
82
Prevention of normal mobility from fibrosis of connective tissue
an osteophyte
a contracture
a ganglion cyst
an adenofibroma
83
what part of the brain coordinates voluntary movement?
Cerebellum
Medulla oblingata
Cerebrum
Midbrain
84
The mechanism that corrects balance or causes sea sickness is located where.
the brain
the inner ear
the nares
85
What does Anoxia mean?
greyish in color
no oxygen in tissue
reduced blood flow
86
3 goals for goniometry are:
0 degrees, stability, full ROM
lay in supine, elevate extremity, perform motion
restoring ROM, push joint hard for best reading, use towels
87
You can deny performing treatment if pt has a contagious infection.
false
true
88
What is considered "contaminated?"
linens
shoes
everything
hands
89
The term pruritus means:
Infection
Coagulation
Itching
Inflammation
90
Designated the primary motor cortex and contains largest number of cortical spinal nerves
Medulla Oblingata
Midbrain
Brodman's area #4
Brodman's area #2
91
Initiates & regulates gross motor movements, accomplishes automatic movement, & posture adjusts
Basal Ganglia
Spinal cord
Cerebellum
92
Fractured (R) head of femur?
Disability
Impairment
Functional limitation
Pathology
93
A 3-1 point gait is FWB with walkers or crutches.
false
true
94
In MMT's, perform all of these except one, which one?
find the bony landmark which to begin
apply pressure most distal to the joint tested
start them in gravity assist body positioning
passive motion then active motion
95
Parkinsons, in the book, resembles a cog wheel. What is a cogwheel?
stiff and jerky
rubbery
flaccid
96
Average respiratory for a child 1-7 yo is;
30-50
40-90
12-20
20-40
97
Inadequate drainage of venous bld usually resulting in edema, skin abnormalities, or ulcers
lymphedema
CVI- Chronic Venous Insufficiency
BPPV
98
Normal end feels are : soft, firm, hard, empty
true
false
99
When measuring axillary crutches they should be all but which one?
3 fingers width in the axilla
there should be a tripod effect
there should be approx 20 degrees elbow Flex
hand rests should be at thumb height
100
Per Pierson, elevating leg rests are required for a reclining w/c for comfort & stability.
true
false
101
What means: caregiver is close, hands on safety belt, pt likely to need intervention by PTA.
COG (contact guard)
Max A
SBA (standby assist)
Mod A
102
Clouded consciousness and hallucinations, that are primarily due to illness, medications
Delirium
Dementia
I see dead people
Obtunded
103
Name the nerve root for the patella.
L1-L2
L2-L3
L3 or L4, depends who you ask
L1-L4
104
What is it called when you hold your breath, pressurizing the lungs, and do a hard exercise.
pickwickian
Vagal response
Valsalva manuver
105
What is it called when an obese pt is supine and having a hard time breathing?
diaphoretic
Valsalva maneuver
Pickwickian
toxemia
106
The Four Square test is:
a test using perturbations
a test to check ability to walk with an AD
testing walking forward, sideways, and backward
a game where a ball is hit with 2 hands to a partner
107
Define normative referencing.
using a demographic to guide you to what might be normal
using BMI charts to establish BMI number
using another pt. file to compare your pt. status to
108
A 3 pt gait is NWB, and starts with a SW progressing to axillary crutches.
false
true
109
What is dystonia?
paralysis of lower extremities
a constant buzzing in the ear
abnormal muscle tone due to constant muscle spasms
Loss of sensation to the most distal extremity
110
dyspnea means?
difficulty lengthening
difficulty breathing
difficulty urinating
111
Hip ADductors measurement requires you to lift and hold the top leg to test the bottom leg.
false
true
112
Pt is in Tx & having difficulty staying awake even with verbal reminders.
stupor
obtunded
Lethargy
113
What is the name of the sound made by the heart's pumps?
Perturbations
Pickwickian
Korotkoff's
114
altered mental status; diminished responsiveness to stimulus
stupor
lethargic
obtunded
115
Is debridement necessary?
no
yes
116
The Tinetti or POMA test measures what 2 things.
balance and gait
core strength and endurance
coordination and strength
117
Which phase of healing is this?
proliferative
inflammatory
epithelialization
maturation
118
What degree of burn is this?
2nd degree
1st degree
3rd degree
119
Healing/closure by secondary intention is everything but what?
has greater chance of infection
healing by granulation, contraction and epithelization
is shorter amount of healing time
will have excessive scar formation
120
Below are 3 disadvantages of MMT's. Which does not apply.
one PTA's pressure is not equivalent to another's pressure
"normal" might not match normal countralaterally
Grades 3+, 4, and 5 are all subjective
you can only test a segment at a time & strength changes
121
Executes smooth, accurate, controlled movements
Coordination
reflexes
sensory
122
What diagnosis is most common cause of diarrhea in hospitals?
Taco Tuesday
bad hand hygiene
MRSA
C-Diff
123
What is the "gold standard" in regards to Muscle performance?
pt. doing one rep max
pt. doing one set 3 to 4 times
I have no idea
pt doing 3 sets with 10 reps, 8 reps, 5 reps
124
MMT remains the method of choice for assessing strength for muscles grades below "fair".
true
false
125
How many respirations per minute is average for an adult?
8-12
18-22
10-14
12-18
126
Only one AD; AD and affected leg then unaffected leg. Gait pattern?
4-point
2-point
modified 4-point
modified 2-point
127
Which one of the following does the Foam & Doam test NOT test?
vestibular
sensory
Vision
proprioception
128
This wound is filled with
granulation
puss
eschar
129
If a pt's. previous MMT measures 2-, you can immediately test them in gravity eliminated.
false
true
130
Facts about the Dynamic Functional Reach are 3 of the 4 answers. Which is NOT a fact.
Hand must begin in a fist
lean forward as far as you can protacting scapula
dominant hand against the surface and measure first
you need a measurement of 12" at shoulder level
131
Dynamic Gait tests what?
ability to walk with assistive device
ability to walk with external interference
testing fall risk while walking
132
Validity = Reliability
true
false
133
What MMT grade do you give a pt with partial ROM in gravity eliminated.
0
2+
1
2-
134
In MMT, what score must a pt receive to NOT do a gravity eliminated test?
3
3+
3-
135
(R) knee flexion PROM 30-90 degrees
Impairment
Functional Limitation
Pathology
Disability
136
Which choice means: pt requires v/cues, but not touching, to perform activity.
I (independent)
Min A
COG (contact guard)
SBA (standby assist)
137
RG III has poor knee mechanics, what is this called?
Coxa Valgus
Coxa Varus
Genu Varus
Genu Valgus
138
Name the nerve root for the triceps?
C6-C7
C6
C5-C6
139
Def. of Sensory integration: the ability of the brain to organize, interpret, use sens. info.
true
false
140
What does this pt. have?
Lice
Flu
Christmas fetish
Compromised Immune system
141
What is the definition of muscle tone?
The resistance of muscle to passively elongate or stretch
the ability of tendons to support the bulk of the muscle
the measurement of a muscles effort and elongation
142
When using a slide board, aim the board to the front edge of the surface you are going to.
false
true
143
Turgor refers to
tightness of muscles
elasticity of skin
hydration of epithelial cells
144
What measures the level of blood to O2 saturation, monitors pulse, and calculates HR?
stethoscopes
Pulse Oximetry
blood pressure
145
Systolic is the number on bottom of blood pressure readings
True
False
146
If a pt is in isolation, is donning or doffing PPE most important
doffing
donning
147
What 5 things are included in vital signs?
body temp, BP, pn level, body position, blood type
body temp, hrt rate, pulse, BP, respiration, pn level
Pulse, BP, Hrt rate, pn tolerance, visitors
148
It coordinates voluntary movement, calibrates reflexes, error correcting mechanism
Basal Ganglia
Cerebellum
Midbrain
149
What is Athetosis?
movements that look like a Cogwheel
Hypertonia of muscles
abonormal muscle contractions causing writhing movements
Urine in the blood
150
The average pulse rate for an adult is:
80-130
70-120
100-130
60-100
151
What is the appropriate gait pattern for NWB status?
3-1-point (modified 3-point)
4-point
3-point
2-point
152
In regards to detecting muscle tone of a pt's muscles, what's a PTA most important skill?
power of precise testing
power of detailed documenting
power of observation
power of palpation
153
For a tilt table, a pt is doing all but one:
being raised in increments with 10-15 min per level
has a strap over their abdomen only
laying supine
receiving Tx to acclimate to gravity assisted positions
154
Name 3 governing bodies for healthcare
OSHA, HIPPA, CDC
OSHA, WHO, CDC
CDC, WHO, POMA
155
What does this sign represent
Blood borne pathogen
Compromised Immune system
Flu
TB
156
Fear of movement is what
Kinesiophobia
arthiophobia
theraphobia
157
define chronic wound
wound that worsens even with treatment
wound that hasn't healed normally & has interrupted bld flow
wound lasting longer than 3 months
158
The Berg Balance Test evaluates __________ risks.
coordination
balance
fall
159
Having diminished arousal and awareness
obtunded
stupor
lethargic
160
Fx (L) olecranon process
A
O
S
Pr
161
The mini mental test assesses what?
sensory
how fast you touch your fingers
cognition
162
A 2 person transfer from bed to bed, the lead person is suppose to be on the pushing side.
true
false
163
If you set your bag on a linen cart, you only contaminated the laundry item touching the bag
true
false
164
It doesn't matter if you start on affected or unaffected side first for all measurements/tests.
true
false
165
This pt. has
MRSA
Banana allergy
Compromised Immune System
Lice
166
Describe this set of pictures
contracture of edges
bed sore healing
gross
delayed primary closure
167
The goal of a FIM eval is to :
determine the level of fall risk
determine a pt. functional disability
if a pt. is capable of living alone
168
The rate of heart contractions = the beats per minute.
true
false
169
The pt. positioning for shoulder extensors for gravity resisted and gravity eliminated are:
prone/sidelying
both sidelying
supine/sidelying
both prone
170
When providing Tx to a pt. with a compromised immune system, donning or doffing PPE is priority
Doffing
Donning
171
What is a KATZ index?
nursing home intake form
funct. ability test for older pt.- scored in 6 categories
test to see if fine motor skills are optimal
172
Proper seat Depth of a w/c will equal:
1 vertically hand width behind bent knee
2 to 3 fingers width between popliteal space and seat edge
no gap, legs should fold right at edge
173
Exaggerated, life-threatening hypersensitivity reaction to a previously encountered antigen:
Anaphylaxis
Asthma
Urticaria
Autoimmunity
174
Environment recommendations are made to 3 of the 4 answers. Per the power pt, which is not.
pt and family
employers
3rd party payers
church
175
Name the nerve root for the Achilles tendon.
S2
S1-S3
S1-S2
S2-S4
176
Micturition means:
woman who has had 2 or more births
a dry, grating sound of bones rubbing together
anothe rword for urination or voiding
red blood cells in the urine
177
When performing an (I) transfer from w/c >c, place the chairs at 90 degrees.
false
true
178
The most popular light wt w/c is the rigid w/c due to durability for active pt.
true
false
179
Mini BESTest incorporates aspects of Romberg, Dynamic Gait, Unilateral Stance, and TUG.
False
True
180
What is crepitation:
one stage of edema
Dry, grating sound or sensation caused by bone ends rubbing
dying tissue
sensations of tingling in distal extremities
181
What does MDRO stand for?
Multi Drug Resistant Organism
Mega Dimensional Rare Organism
MRSA Droplet Respiratory Originator
Moderate Dysdiadochokinesia Reactive Organization
182
All are facts about MMT's but one. Which one?
is used to help track a pt. progress or produces "red flags"
integral part of the physical examination of a pt.
they are measured in degrees
requires ability to palpate bony landmark and muscle belly
183
Which location is NOT allowed to check body temp?
Anal
Axilla
Oral
Popliteal space
184
what does apnea mean?
not breathing
not urinating
not long enough
185
An intertester is
many testers to one patient
One tester to one patient
186
Mod (I) means pt uses AD to perform task independently.
true
false
187
Standard precautions for infection control only occur with pt. with signs outside their door.
false
true
188
What does the pt. have?
C-Diff
Flu
Diarrhea
MRSA
189
Hypertonia has a specific word that describes it. What is it?
flaccid
spasticity
rigid and stuck
190
The Glasgow Scale is used for what
measuring fall risk
balance test with external factors
assess level of consciousness after a head injury
191
What reflects the effects of heart output, peripheral vaso resistance & hemodynamic factors.
pulse
blood pressure
hypertension
192
When doing a test with a pt. always do all the following except,
Position the pt comfortably so they can focus
give the "why" and demo what you will be doing
provide ALL directions for all the test includes up front
have all instruments or draping within arms reach
193
what degree of burn is this?
3rd degree
1st degree
4th degree
2nd degree
194
What is a platform attachment in regards to AD?
it is a wheeled crutch - used for broken legs or ankles
used for pt. NWB in an hand, wrist, elbow or have deformity
its an attachment for crutches for holding purses/bags
it is a specialized walkers for pt to sit and rest
195
In the brain, it initiates, inhibits,& regulates gross motor responses; automatic movements?
Peduncles
Cerebrum
Cerebellum
Basal Ganglia
196
What are the 3 parameters of pulse?
rhythm, quality, rate
respiratory, occlusion, BP
speed, strength, rhythm

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